Trigeminal neuralgia(TN) is a severe unilateral paroxys¬mal facial pain that causes intense distress and often compromises the quality of life of the patient. The aetiology and pathophysiology of TN is still not clear. Numerous treatment options for TN are available. Medical therapy is the first choice and surgical modalities are used only when medical therapy fails. The challenge lies in assessing and selecting the treatment which best fits each patient. This article reviews the various treatment options available for trigeminal neuralgia.